Ghanem Hafez M, Abou-Alia Ahmad M, Alsirafy Samy A
Palliative Care Department, King Fahad Specialist Hospital-Dammam, Dammam, Saudi Arabia.
Am J Hosp Palliat Care. 2013 Jun;30(4):377-9. doi: 10.1177/1049909112452335. Epub 2012 Jul 9.
Little is known about the pattern of methicillin-resistant Staphylococcus aureus (MRSA) colonization and infection in hospitalized palliative care (PC) patients. We reviewed 854 admissions for 289 patients with advanced cancer managed by a PC service in a tertiary care hospital. The MRSA screening was performed at least once in 228 (79%) patients, and 21 (9%) of them were MRSA positive. Other cultures were done in 251 (86.8%) patients, and 8 (3%) patients were MRSA positive. The total number of MRSA-positive admissions was 28 (3%), with a median admission duration of 8 days. A substantial proportion of hospitalized PC patients with cancer are MRSA positive. Research is required to study the impact of infection control measures on the quality of PC delivered to MRSA-positive terminally ill patients in hospitals.
关于住院姑息治疗（PC）患者中耐甲氧西林金黄色葡萄球菌（MRSA）定植和感染的模式，目前所知甚少。我们回顾了一家三级护理医院中由PC服务管理的289例晚期癌症患者的854次住院情况。228例（79%）患者至少接受了一次MRSA筛查，其中21例（9%）为MRSA阳性。251例（86.8%）患者进行了其他培养，8例（3%）患者为MRSA阳性。MRSA阳性住院患者总数为28例（3%），中位住院时间为8天。相当一部分住院的癌症PC患者为MRSA阳性。需要开展研究以探讨感染控制措施对医院中MRSA阳性晚期患者所接受的PC质量的影响。
